Organization
ADVANTAGE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY D BELTON (OWNER)
(803) 546-1170
Entity
Organization
Contact information
Practice address
9153 TWO NOTCH RD STE C, COLUMBIA, SC 29223-5853
(803) 546-1170
Mailing address
9153-C TWO NOTCH ROAD, COLUMBIA, SC 29223
(803) 546-1170
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613535
DHEC
—
Enumeration date
08/02/2013
Last updated
08/02/2013
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